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re: Question for Dr's of the OT update in OP
Posted on 7/3/15 at 12:11 am to Ric Flair
Posted on 7/3/15 at 12:11 am to Ric Flair
quote:
Should've gotten an EKG in the ED before giving you kayexelate. If there were no peaked T waves, you could've avoided a lot of trouble. A lot faster than checking labs.
um no, that'd be an awful idea. EKG isn't sensitive enough and you're treating a K of 7 (assuming it's real) regardless of the presence or absence of any other findings. If you want to keep a license that is. ETA: I meant it's an awful idea to use the EKG to decide whether or not the K is real and whether or not to treat it. You obviously want to at least get the EKG to see what you're dealing with in case it does show anything.
This post was edited on 7/3/15 at 12:26 am
1
Posted on 7/3/15 at 12:25 am to TMDawg
In an otherwise healthy guy, I would get an EKG before starting any treatment, because I would assume a lab error. Assuming its a healthy guy who is making urine and not dehydrated. If I think it is real, I'd probably start a iv fluids and glucose/insulin to force the k intracellularly initially, then get him to dialysis.
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